Individual provider Active NPI

Mary Brent Whipple, L.C.S.W.

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1790085249
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000164 Issued in DE
Practice address
100 N Dupont Rd
Wilmington, DE 19807
Phone
(302) 651-2100
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000164 DE Primary

Addresses

Primary practice location

100 N Dupont Rd
Wilmington, DE 19807

Mailing address

100 N. Dupont Rd.
Wilmington Campus CNTR.
Wilmington, DE 19807
Phone (302) 651-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Broudy CurrentSince Oct 20, 2024 Accepting new patients

Locations

825 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1790085249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. DUPONT RD.",
            "address_2": "WILMINGTON CAMPUS CNTR.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19807",
            "telephone_number": "302-651-2100",
            "fax_number": "302-651-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DUPONT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19807",
            "telephone_number": "302-651-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "MARY",
        "middle_name": "BRENT",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.